Jennifer Melinda Melcomian

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

95020078 Issued in CA

Practice address

6469 Almaden Expy Ste 80-703
San Jose, CA 95120-2926

Phone

(669) 317-9835

NPI assigned

Feb 4, 2019

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jennifer.melcomian.1@14940.direct.athenahealth.com
• Direct secure messaging: jennifer.melcomian@620821020676.direct.elationemr.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Melco Nursing Inc

  • Family Nurse Practitioner
  • San Jose, CA
  • NPI 1538968284

  CA, Family

  Medicare reassignment NPD Authorized official
• California Emergency Physicians

  • Family Medicine Physician
  • Campbell, CA
  • NPI 1750302600

  CA

  Medicare reassignment NPD
• Mogo Urgent Care

  • Urgent Care Clinic/Center
  • Monterey, CA
  • NPI 1770145682

  CA

  Medicare reassignment NPD
• Melco Nursing Inc.

  • Nurse Practitioner
  • San Jose, CA
  • NPI 1578363263
  NPD Authorized official
• Carbon Health Medical Group of California PC

  • Urgent Care Clinic/Center
  • Berkeley, CA
  • NPI 1417294232

  CA

  Medicare reassignment
• California Emergency Physicians

  • Family Medicine Physician
  • San Jose, CA
  • NPI 1922020940
  NPD
• Jordan Valley Medical Center LP

  • General Acute Care Hospital
  • West Valley City, UT
  • NPI 1366440620
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1549238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741824000000",
    "number": "1487119491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6469 ALMADEN EXPY STE 80-703",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951202926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6469 ALMADEN EXPY STE 80-703",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951202926",
            "telephone_number": "669-317-9835"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MELCOMIAN",
        "first_name": "JENNIFER",
        "middle_name": "MELINDA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-04",
        "last_updated": "2025-03-13",
        "certification_date": "2025-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "UT",
            "license": "5349909-4405",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95020078",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Akshata Melanahalli
• Sir Norman T Melancon, MD
• De Ann Eileen Melcher
• Melco Nursing Inc
• Melco Nursing Inc.
• Christopher John Mele, MD
• Sienna Meli-Magana
• Melisa Escarcega Kiku Melisa Escarcega
• Mario Mella
• Julie Marie Mello

• All providers in San Jose, CA
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.